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Unusual features such as anomalous pulmonary artery origin may delay cyanosis, decreasing clinical suspicion. A three\u2010week old female infant who had never been cyanotic presented for forensic autopsy due to onset of unresponsiveness at home. History included risk factors for <jats:styled-content style=\"fixed-case\">TGV<\/jats:styled-content> and signs of heart enlargement that were not recognized during life. Cardiac pathology consultation identified D\u2010type <jats:styled-content style=\"fixed-case\">TGV<\/jats:styled-content> with additional rare anomalies. <jats:styled-content style=\"fixed-case\">TGV<\/jats:styled-content> may present as sudden unexplained infant death (<jats:styled-content style=\"fixed-case\">SUID<\/jats:styled-content>) for forensic autopsy if variant features prevent development of cyanosis. Cardiac pathology consultation is helpful in clarifying these features.<\/jats:p>","DOI":"10.1111\/1556-4029.13967","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T21:36:58Z","timestamp":1543441018000},"page":"1241-1244","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex Congenital Heart Malformation Including Transposition of the Great Vessels, Presenting as Sudden Unexplained Infant Death"],"prefix":"10.1111","volume":"64","author":[{"given":"Carlee N.","family":"Demeter","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School Pathologists\u2019 Assistant Program P.O. 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